MEDICARE: NAVITA HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	3245S0500X	Children's Substance Abuse Rehabilitation Facility
3	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1689435331
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAVITA HEALTH LLC

Provider Business Mailing Address
First Line	:	18219 OCTAVIO FRIAS TRAIL
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044
Country	:	US
Telephone Number	:	254-227-3434
Fax Number	:

Provider Business Practice Location Address
First Line	:	9186 SIX PINES DR STE 175
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-3680
Country	:	US
Telephone Number	:	346-646-0800
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MR. MARK GOLD YITZCHOK
Credential	:
Telephone Number	:	732-684-0885

Provider Enumeration Date	:	01/19/2024
Last Update Date	:	01/19/2024

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Directions to “NAVITA HEALTH LLC ” Practice Location

Language	Start Address	Practice Location

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